Isikhumba SasePrienal Singahle Silimale Kakhulu, Ngokuyinhloko Ngemva Kwesifo Sohudo
I-Perianal ibhekisela endaweni yomzimba ezungeze i- anus , ikakhulukazi, isikhumba. Isikhumba se-perianal sibucayi futhi siyakwazi ukulimala nokulimala kusuka ehudo, ukuqothulwa, nezifo.
Ukuthukuthela endaweni ye-perianal kungenzeka ngehudo eliphikelela. I-diarrhea ngokwayo ingabangela isifo futhi ishise isikhumba, futhi ukusula ngokuphindaphindiwe ngephepha langasese kungabangela ukuhlukunyezwa okuqhubekayo.
Ukwelapha isifo sohudo bese ugcina indawo ihlanzekile futhi yomile kubalulekile ekuphulukiseni isikhumba se-perianal .
Izifo Nezimo Zendawo Yomhlaba
Izifo nemibandela engathinta isikhumba se-perianal kufaka:
- Ama-hemorrhoids angaphandle : Ama-hemorrhoids ayenzeka ngaphandle kwe-anus okungaba buhlungu, buhlungu, futhi bavame ukuphuma. Ama-hemorrhoids angenzeka ngenxa yesifo sesibindi, ukuqotshwa, isifo sohudo, noma ngesikhathi sokukhulelwa. Izimpawu zingase zibi nakakhulu ngesikhathi sokunyakaza kwamathumba. Ezimweni eziningi ama-hemorrhoids azoba ngcono ngemithi yokwelashwa ekhaya, kodwa kwezinye izimo bangase badinge ukuphathwa yi-gastroenterologist noma udokotela ohlinzayo. Uma i-clot yegazi ivela, i-hemorrhoid ingase ihlaselwe, futhi ibangele ubuhlungu nokuvuvukala.
- Isifo sika-Crohn: Isifo sikaCrohn singenzeka kunoma iyiphi ingxenye yesimiso sokugaya, kanti indawo ye-perianal nayo ingathinteka. Cishe 24% weziguli ezine-Crohn's disease zinezifo endaweni ye-perianal. Abantu abane-Crohn's disease bangase babe namakhumba esikhumba, ama-hemorrhoids, noma, ezimweni ezingavamile kakhulu, umdlavuza endaweni ye-perianal. Ezimweni eziningi, udokotela ohlinzayo oyodokotela uzodinga ukubonisana ekunakekeleni iziguli ezinenkinga enjalo yesifo sikaCrohn.
- I-abscess yama-perian : I-abscess iqoqo legazi kanye ne-pus okungenzeka noma kuphi emzimbeni, kufaka phakathi indawo ye-perianal. Abantu abanezifo zesifo sofuba (IBD), futhi ikakhulukazi labo abane-Crohn's disease, basengozini yokuthuthukisa i-absanal abscess. Isikhwama se-perianal singase siqale ngemuva kokukhala kwe-anus, kanti amanye amabhaktheriya angena emzimbeni ngokusebenzisa izinyembezi. Izimpawu ukuvuvukala, ubuhlungu, ukushisa, nokulahlekelwa kwesilonda. Ama-abscesses endaweni ye-perianal ngokuvamile ayaphathwa ngokuwaxosha bese kuthiwa ama-antibiotic anganikwa.
- I-fistula yama-perian: Umhubhe ongavamile emzimbeni ophakathi kwesikhumba ne-rectum, i-fistula ingenzeka nganoma yisiphi isimo se-IBD. Enye ingcindezi engase ibe yinkimbinkimbi ye-perianal yilapho kuthuthukiswa i-fistula endaweni, ngezinye izikhathi ingaba yindlala. I-fistula ingase futhi idale ngemuva kokuhlukunyezwa noma njengenkinga ye-Crohn's disease, izifucu zomzimba, umdlavuza, ukwelapha imisebe, ama-actinomycoses, isifo sofuba noma ukutheleleka nge-Chlamydia. Izimpawu zihlanganisa ukuphuka esikhumbeni, ukuvuvukala, ubuhlungu, kanye nomsele (mhlawumbe i-pus noma isitulo) kusayithi. Ukwelapha ukuhlinzwa (fistulotomy) noma ukubeka i-seton ngokusebenzisa i-fistula. I-seton yinkambo eqinisiwe ngokuhamba kwesikhathi futhi ekugcineni isusiwe.
Nini Ukubona Udokotela
Ubuhlungu, ukuvuvukala, ukuhlambalaza, noma i-bump noma i-bump endaweni yangaphansi kufanele kuhambisane nokuvakashela kudokotela ukuze kunqume ukuthi yini engabangela inkinga. Udokotela uzofuna ukuhlolwa ngokomzimba futhi okungenzeka ahlole ukuhlola ukuthi kwenzekani. Lokhu kuyiqiniso ikakhulu kubantu abane-IBD, ikakhulukazi isifo sikaCrohn. Izinkinga endaweni yangasese zingenzeka, kodwa ukubamba ngokushesha futhi ukufuna ukwelashwa kungasiza ekuvimbeleni imiphumela embi kakhulu.
Ukwelashwa kuzoncika kakhulu ngenxa yezimbonakaliso endaweni ye-perianal.
Ukuze uthole ama-hemorrhoids alula, ukwelashwa kungenziwa ekhaya, kodwa ngezinkinga eziningi ezingenayo njenge-fistula noma i-abscess, ukuhlinzwa okuphuthumayo kungadingeka. Kubantu abanesifo sokugaya esiswini, ukuthola ngisho nezinkinga ezilula ngaphansi kokulawula ngokushesha kuzoba yisihluthulelo sokugwema izinkinga eziningi kakhulu kamuva.
Izwi elivela
Izinkinga ngendawo ye-perianal ingaba buhlungu futhi kunzima ukubhekana nayo ngenxa yethonya elinalo ekungeneni endlini yokugezela. Ukucasuka okuncane, ukungena emanzini afudumele noma ukuhlanza ngemuva kokunyakaza kwamathumba esikhundleni sokusula kungaba usizo. Kodwa-ke, uma kukhona inhlama noma i-bump noma ubuhlungu obunzima, sekuyisikhathi sokubona udokotela futhi uthole ukwelashwa ukugwema ukungahambi kahle.
Imithombo:
Galandiuk S, Kimberling J, Al-Mishlab TG, Stromberg AJ. "Izifo ZasePrandan Ezivela Perianal." Ann Surg . 2005 Meyi; 241 (5): 796-802.
Safar B, iSands D. "Izifo ZasePransan Crohn." Imitholampilo e-Colon ne-Rectal Surgery . 2007; 20 (4): 282-293.